Indiana Administrative Code
Title 470 - DIVISION OF FAMILY RESOURCES
Article 11.1 - HOSPITAL CARE FOR THE INDIGENT
Rule 2 - Hospitalization, Financial Assistance and Covered Services; Patient Data
Section 2-2 - Covered hospital services; review and approval

(a) In-patient and out-patient hospital and physician services, when rendered in a hospital, are covered when such services are medically necessary for the treatment of a medical condition that manifested itself by symptoms of sufficient severity that the absence of immediate medical attention would probably result in:

(b) A qualified resident of Indiana shall be eligible to receive assistance to pay for any part of the cost of care that is a direct consequence of the medical condition that necessitated the emergency care providing such care is rendered in the hospital. No post-hospital care shall be reimbursable under the hospital care for the indigent program.

(c) Any costs of services rendered by a physician pursuant to the hospital care for the indigent program must conform to the global or single billing concept as defined in 405 IAC 1-7-1[ 405 IAC 1-7 was repealed filed Jul 25, 1997, 4:00 p.m.: 20 IR 3365.] and be included in the charges initially incurred by an eligible patient while hospitalized.

(d) Any emergency medical transportation costs reasonably necessary to transport an eligible patient to a hospital for the treatment of a medical condition described in subsection (a), above, shall be reimbursed to said transportation provider if said provider is properly licensed in the state of Indiana to render the transportation service for which he seeks payment. The department shall not pay more to the transportation provider than the prevailing rate in the community for similar service.